Active NPI
Nagle Pharmacy, Inc.
- Community/Retail Pharmacy
- New York, NY
National Provider Identifier
1679808018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 029587
- Legal business name
- NAGLE PHARMACY, INC.
- Practice address
- 220 Nagle Ave
New York, NY 10034-6004 - Phone
- (212) 942-0202
- Fax
- (212) 942-0802
- NPI assigned
- Oct 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faina Vinokur, PHARMD.
- Title
- Supervising Pharmacist
- Phone
- (917) 528-4848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 029587 | NY | Primary |
Addresses
Primary practice location
220 Nagle Ave
New York, NY 10034-6004
Mailing address
210 Nagle Ave
New York, NY 10034-6004
Phone (212) 942-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03167291 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
210 Nagle Ave
New York, NY 10034
220 Nagle Ave
New York, NY 10034
Phone (212) 942-0202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291939200000",
"number": "1679808018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NAGLE AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100346004",
"telephone_number": "212-942-0202",
"fax_number": "212-942-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 NAGLE AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100346004",
"telephone_number": "212-942-0202",
"fax_number": "212-942-0802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAGLE PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-02",
"last_updated": "2010-12-10",
"status": "A",
"authorized_official_last_name": "VINOKUR",
"authorized_official_first_name": "FAINA",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST",
"authorized_official_telephone_number": "917-528-4848",
"authorized_official_credential": "PHARMD."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "029587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03167291",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.